Influence of biological fluids in bacterial viability on different hospital surfaces and fomites

Deigilam C Esteves1, Valeria C Pereira2, Joyce M Souza1

  • 1Master's Program in Environment and Regional Development, University of Western São Paulo, Presidente Prudente, SP, Brazil.

Abstract

Insights

Bacterial pathogens can survive on hospital fomites and surfaces, influenced by biological fluids. Staphylococcus aureus showed remarkable persistence, highlighting risks in healthcare settings.

Area of Science:

  • Microbiology
  • Infection Control
  • Environmental Hygiene

Background:

  • Hospital environments are prone to bacterial contamination on surfaces and fomites.
  • This contamination facilitates the spread of pathogenic bacteria.
  • Understanding bacterial survival in these settings is crucial for infection control.

Purpose of the Study:

  • To assess how biological fluids affect bacterial viability on common hospital fomites and surfaces.
  • To identify which bacteria persist longest in a healthcare environment.

Main Methods:

  • Four fomites/surfaces (ceramic floor, cotton, synthetic fibers, foam mattress) were inoculated with five pathogens (Staphylococcus aureus, Escherichia coli, Enterococcus faecalis, Pseudomonas aeruginosa, Klebsiella pneumoniae).
  • Inoculated surfaces were exposed to biological fluids (blood, urine, artificial saliva).
  • Bacterial viability was quantified using colony-forming unit counts at 24 hours and subsequent 7-day intervals.

Main Results:

  • Staphylococcus aureus demonstrated significant viability, persisting over 70 days across all tested conditions.
  • Enterococcus faecalis and Klebsiella pneumoniae showed reduced viability over time.
  • Escherichia coli did not display a clear growth correlation with surfaces or fluids.

Conclusions:

  • The persistence and adaptability of pathogens on patient-exposed fomites and surfaces are critical factors in healthcare-associated infections.
  • Findings inform the development of effective protocols for controlling and preventing microorganism dissemination in hospitals.
  • Robust infection control strategies are necessary to mitigate risks posed by resilient bacterial strains.

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